Kev mob ntsws Acetonemic mob rau menyuam yaus > Mob ntshav qab zib muaj teeb meem

Kev mob ntsws Acetonemic mob rau menyuam yaus
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Kev mob ntsws Acetonemic mob rau menyuam yaus (ketotic hypoglycemia thaum yau, tsis ketoacidosis tsis muaj ntshav qab zib, cov tsos mob ntawm cyclic acetonemic ntuav, acetonemic ntuav) - cov kev mob tshwm sim los ntawm qhov kev nce ntxiv ntawm qhov kev txiav txim siab ntawm ketone lub cev hauv cov ntshav plasma - ib qho kev mob tshwm sim thaum tseem yog menyuam yaus, tshwm sim los ntawm qhov tsis txaus ntseeg tias yog ntuav, ntuav hloov lub sijhawm ua tiav. Muaj thawj (idiopathic) - muaj kev txhim kho los ntawm qhov tsis raug ntawm cov zaub mov noj (ntev tshaib plab ncua) thiab theem nrab (tawm tsam somatic, kis, endocrine kab mob, txhab thiab qog ntawm lub hauv nruab nrab lub paj hlwb) acetonemic syndrome.

Kev faib tawm

Thawj tus mob acetonemic syndrome tshwm sim hauv 4 ... 6% ntawm cov menyuam yaus hnub nyoog 1 txog 12 ... 13 xyoos. Nws yog ntau dua ntawm cov menyuam ntxhais (tus piv ntawm cov ntxhais / cov tub yog 11/9). Qhov nruab nrab hnub nyoog ntawm kev ua kom paub ntawm tus mob ntawm ntuav ntawm cov dej hiav txwv ua ntu yog 5.2 xyoo. Heev feem ntau (nyob rau hauv yuav luag 90% ntawm cov xwm txheej), chav kawm ntawm cov teebmeem ntsoog loj heev los ntawm kev txhim kho ntawm kev rov qab ua haujlwm tsis tuaj yeem ntuav, uas tau txhais tias yog acetonemic. Kwv yees li 50% ntawm cov neeg mob xav tau kev daws teeb meem ntawm cov tshuaj acetone los ntawm cov kua dej ua kua.

Cov ntaub ntawv hais txog kev nthuav dav ntawm cov neeg muaj mob xoos ntawm lub cev tsis tuaj yeem nyob rau ob qhov tshwj xeeb hauv tsev thiab txawv teb chaws. ntaub ntawv.

Kev faib tawm cais |Cov ntaub ntawv dav dav

Acetonemic syndrome (mob cyticonicic syndrome, mob ntshav qab zib tsis yog mob ntshav qab zib ketoacidosis) yog mob pathological uas muaj los ntawm kev nce ntshav hauv ketone lub cev (acetone, b-hydroxybutyric acid, acetoacetic acid), uas tau tsim vim yog cov khoom noj tsis haum ntawm cov amino acids thiab cov rog. Acetonemic syndrome nyob rau hauv cov menyuam yaus tau hais tias yog nyob rau hauv kev rov tshwm sim ntawm cov kev tsis haum xeeb.

Hauv kev kho mob hlwb, muaj cov thawj (idiopathic) acetonemic syndrome, uas yog tus kab mob ywj siab, thiab kab mob acetonemic syndrome, ua ke nrog cov chav kawm ntawm tus kab mob. Li ntawm 5% ntawm cov menyuam yaus hnub nyoog 1 xyoos txog 12-13 xyoo muaj feem ntau ntawm kev loj hlob ntawm tus mob acetonemic syndrome, qhov sib piv ntawm cov menyuam ntxhais mus rau cov tub yog 11: 9.

Thib ob hyperketonemia tuaj yeem tshwm sim nrog decompensated ntshav qab zib mellitus hauv cov menyuam yaus, insulin hypoglycemia, hyperinsulinism, thyrotoxicosis, Itsenko-Cushing's disease, kab mob glycogen, mob taub hau, mob hlwb hlav hauv Turkish eeb, ua rau lub siab ua rau lub siab, ua kom lub cev puas, ua rau lub cev tsis muaj zog, mob ntshav qab zib, mob ntshav siab, tej yam kev mob. Txij li cov chav kawm thiab kev soj ntsuam ntawm cov kab mob secondary acetonemic syndrome tau txiav txim los ntawm tus kab mob hauv qab, hauv dab tsi hauv qab no peb yuav tsom mus rau thawj ketoacidosis uas tsis yog ntshav qab zib.

Kev txhim kho ntawm cov roj ntsha ua rau muaj kev puas siab ntsws yog ua raws li qhov tsis muaj lossis tsis txaus sib xyaw ntawm cov carbohydrates hauv tus menyuam txoj kev noj haus lossis qhov tseem ceeb ntawm cov roj ntsha thiab ketogenic amino acids. Kev tsim tawm ntawm cov tshuaj acetonemic ua rau muaj qhov tsis txaus siab rau daim siab koom nrog kev ua haujlwm hauv oxidative. Tsis tas li ntawd, cov yam ntxwv ntawm cov metabolism hauv cov menyuam yaus yog xws li muaj qhov txo qis hauv ketolysis, cov txheej txheem ntawm kev siv lub cev ketone.

Nrog rau qhov tsis txaus lossis tsis muaj qhov tsis txaus rog txaus kom txaus, lub cev lub zog xav tau tau los ntawm kev txhim kho lipolysis nrog kev tsim cov roj nplua nuj dawb. Nyob rau hauv cov xwm txheej ntawm cov metabolism hauv lub siab, cov roj ntsha dawb hloov pauv mus rau lub cev metabolite acetyl-coenzyme A, uas tom qab ntawd koom ua ke hauv resynthesis ntawm fatty acids thiab kev tsim cov roj cholesterol. Tsuas yog ib feem me me ntawm acetyl coenzyme A yog siv rau kev tsim cov ketone lub cev.

Nrog txhim kho lipolysis, ntau npaum li cas ntawm acetyl coenzyme A yog ntev li ntawm, thiab cov kev ua ntawm cov enzymes uas ua kom muaj kev tsim cov roj fatty acids thiab cov roj cholesterol tsis txaus. Yog li ntawd, kev siv cov tshuaj acetyl coenzyme A tshwm sim feem ntau los ntawm ketolysis.

Cov ketone ntau lub cev (acetone, b-hydroxybutyric acid, acetoacetic acid) ua rau kev ua txhaum ntawm cov kua qaub-puag thiab dej-electrolyte tshuav, muaj cov tshuaj lom rau hauv nruab nrab lub paj hlwb thiab lub plab hnyuv, uas yog tsom hauv lub tsev kho mob ntawm acetone syndrome.

Psychoemotional kev ntxhov siab, intoxications, mob, insolation, kab mob (mob ua pa ntawm kis kab mob, gastroenteritis, mob ntsws, mob ntsws neuroinfection) tuaj yeem yog yam uas ua rau mob acetonemic syndrome. Lub luag haujlwm tseem ceeb hauv kev txhim kho cov mob acetonemic yog ua si los ntawm cov khoom noj khoom haus - kev tshaib plab, dhau hwv, kev noj cov protein thiab cov khoom noj muaj rog ntau nrog rau cov khoom noj tsis tau ntawm carbohydrates. Acetonemic mob hauv cov menyuam mos yog feem ntau cuam tshuam nrog kev mob toxicosis qeeb - mob hlwb, uas tau tshwm sim hauv tus poj niam cev xeeb tub.

Cov tsos mob ntawm Acetonemic Syndrome

Acetonemic syndrome feem ntau pom muaj rau cov menyuam yaus uas muaj kev tsis ua raws cai (neuro-arthritic diathesis). Cov menyuam zoo li no tau qhov txawv txav ntawm kev muaj peev xwm zam tau sai thiab ua rau lub cev tsis muaj zog sai sai, lawv muaj lub cev nyias nyias, feem ntau txaj muag dhau, muaj kev mob hlwb thiab pw tsis tsaug zog. Nyob rau tib lub sijhawm, tus menyuam nrog neuro-arthritic anomaly ntawm tsab cai txhim kho kev hais lus, nco thiab lwm yam kev paub sai dua nws tus phooj ywg. Cov menyuam yaus nrog neuro-arthritic diathesis yog cov nquag ua rau lub cev tsis muaj zog ntawm purines thiab uric acid, yog li ntawd, thaum tiav hluas lawv nquag tsim urolithiasis, mob gout, mob caj dab, mob ntshav qab zib, mob rog, hom ntshav qab zib hom 2.

Qhov tshwm sim qhia tseeb ntawm cov tshuaj acetone syndrome yog acetone crises. Cov teeb meem zoo sib xws nrog cov mob acetonemic tuaj yeem tsim dheev los yog tom qab ua ntej (lub npe hu ua aura): qaug zog lossis ntxhov siab, tsis qab los noj mov, xeev siab, mob taub hau zoo li mob taub hau, thiab lwm yam.

Cov chaw kho mob ib txwm muaj ntawm cov mob hnoos qeev muaj qhov ua rau ntuav rov qab los yog tsis tuaj yeem, uas tshwm sim thaum sim pub mis lossis haus dej rau menyuam. Tawm tsam keeb kwm ntawm qhov ntuav nrog cov mob xoos xoos, cov cim ntawm intoxication thiab lub cev qhuav dej sai sai (mob nqaij daim tawv nqaij, adynamia, pallor ntawm daim tawv nqaij nrog ntsej mua nce ntshav).

Lub cev muaj zog thiab kev ntxhov siab ntawm tus me nyuam hloov pauv los ntawm kev nkees thiab qaug zog, nrog txoj kev mob hnyav ntawm cov mob ntawm lub cev, mob tshwm sim ntawm lub cev thiab mob plab yog qhov ua tau. Ua npaws (37.5-38.5 ° C), mob plab, mob plab, tso quav, tso quav. Los ntawm tus menyuam lub qhov ncauj, los ntawm tawv nqaij, tso zis thiab ntuav, tsis hnov ntxhiab ntawm acetone emanates.

Thawj qhov kev tawm tsam ntawm cov mob acetonemic syndrome feem ntau tshwm sim thaum muaj hnub nyoog 2-3 xyoos, dhau los ua neeg muaj hnub nyoog 7 xyoo thiab ploj tag thaum muaj hnub nyoog 12-13 xyoos.

Kev kuaj mob ntawm cov mob ua xua

Cov kev lees paub txog cov mob acetonemic syndrome tau yooj yim los ntawm kev kawm txog anamnesis thiab kev tsis txaus siab, cov tsos mob hauv chaw kho mob, thiab cov txiaj ntsig hauv chaw kuaj ntshav. Nco ntsoov tias qhov sib txawv ntawm tus thawj thiab theem nrab ntawm acetonemic syndrome.

Kev soj ntsuam lub hom phiaj ntawm cov menyuam yaus uas muaj mob acetonemic syndrome thaum muaj kev kub ntxhov ua rau lub suab tsis muaj zog, tachycardia, arrhythmia, qhuav ntawm daim tawv nqaij thiab cov qog ua kua, txo qis rau ntawm daim tawv nqaij, txo qis tsim kua muag, tachypnea, hepatomegaly, thiab txo qis diuresis.

Kev kuaj ntshav rau cov neeg muaj mob ua paug rau lub cev yog pom los ntawm leukocytosis, neutrophilia, ESR nrawm dua, kuaj cov zis feem ntau - ketonuria ntawm qib txawv (ntawm + txog ++++). Hauv kev kuaj ntshav biochemical, hyponatremia (nrog rau cov kua dej tsis ua haujlwm ntxiv) lossis hypernatremia (nrog poob kua dej), hyper- lossis hypokalemia, nce qib ntawm urea thiab uric acid, ib txwm los sis nrab hypoglycemia tuaj yeem pom.

Cov kev kuaj mob sib txawv ntawm tus thawj acetonemic syndrome yog nqa nrog kab mob ketoacidosis theem nrab, mob plab hauv plab (mob hnyuv tws rau menyuam yaus, mob peritonitis), kab mob neurosurgical pathology (mob hlwb, txha caj qaum, mob hlwb txha caj qaum), lom thiab mob plab hnyuv. Hauv qhov no, tus menyuam yuav tsum tau txais kev sib tham ntxiv los ntawm kws kho mob kabmob kabmob hlwb, tus kws khomob tshwj xeeb kis tus kabmob, kws kho kabmob ntawm lub plab.

Kev Kho Mob Acetonemic Syndrome Kev Kho Mob

Cov chaw tseem ceeb ntawm kev kho mob rau cov mob hnoos qeev yog kev daws teeb meem thiab kev saib xyuas kev kho mob hauv lub sijhawm sib nrug, txhawm rau txo qis cov exacerbations.

Nrog cov mob acetonemic crises, kev pw hauv tsev kho mob ntawm tus menyuam yog qhia. Kev noj haus kev noj haus tau ua: cov rog yog nruj me ntsis, kev zom zaub mov carbohydrates thiab cov dej haus muaj txiaj ntsig zoo yog pom zoo. Nws raug nquahu kom teeb tsa lub tshuaj ua kom zoo nkauj nrog kev daws teeb meem ntawm sodium bicarbonate uas ua rau nruab nrab ntawm cov ketone lub cev uas nkag mus rau txoj hnyuv. Qhov ncauj dej nrog cov mob ua paug nrog acetonemic syndrome yog nqa nrog alkaline cov dej ntxhia thiab ua ke kev daws teeb meem. Nrog rau lub cev qhuav dej ntau, kev kho txoj kev lis ntshav yog nqa tawm - tso dej kua ntawm 5% piam thaj, ua kua qab ntsev. Kev kho mob nrog suav nrog kev qhia tawm ntawm cov tshuaj tiv thaiv antiemetic, antispasmodics, sedatives. Nrog rau kev kho kom zoo, cov tsos mob ntawm kev mob hnyav ntawm acetonemic cia zuj zus los ntawm 2-5 hnub.

Hauv lub sijhawm sib nrug, tus menyuam yaus muaj lub cev mob xoos xoos raug saib xyuas los ntawm tus kws kho menyuam yaus. Nws yog ib qho tsim nyog los npaj cov khoom noj kom zoo (cog khoom noj-mis nyuj, kev txwv ntawm cov zaub mov muaj roj ntau ntau), kev tiv thaiv cov kab mob sib kis thiab cov kev xav hauv lub siab, ua dej thiab npau taws (da dej, rov qab da dej, da dej, rub tawm), pw txaus thiab nyob hauv cov huab cua ntshiab.

Ib tug menyuam yaus uas muaj mob ua xoos yog qhia txog kev tiv thaiv ntau yam ntawm multivitamins, hepatoprotectors, enzymes, kev kho kom tsis txhob mob, zaws, kev tswj hwm coprogram. Txhawm rau tswj cov zis acetone, nws raug nquahu kom kuaj xyuas cov zis kom paub tseeb txog cov ntsiab lus ntawm ketone lub cev siv cov kev kuaj mob.

Cov menyuam yaus uas muaj mob acetonemic syndrome yuav tsum tau rau npe rau tus kws kho mob hauv menyuam yaus, txhua xyoo muaj kev tshawb fawb txog ntshav qabzib, ultrasound ntawm lub raum thiab ultrasound ntawm lub plab hauv plab.

Dab tsi yog qhov no

Acetonemic syndrome yog ib qho mob uas tshwm sim thaum cov txheej txheem hauv metabolic hauv tus menyuam lub cev ntxhov siab, yog ib yam kev ua tsis zoo ntawm cov txheej txheem hauv metabolic. Hauv qhov no, tsis muaj qhov tsis ua haujlwm ntawm lub plab hnyuv siab raum, kev tsis sib haum xeeb hauv lawv tus qauv heev tsis tau kuaj pom, tsuas yog ua haujlwm, piv txwv li, ntawm lub txiav thiab lub siab tsis tswj hwm.

Cov tsos mob no nws tus kheej yog ib qho kev ua kom pom ntawm lub npe neuro-arthritic anomaly ntawm tsab cai lij choj (neuro-arthritic diathesis yog lub npe qub rau tib yam mob). Nov yog qee yam ntawm cov cwjpwm kev coj ua ke nrog kev ua haujlwm tshwj xeeb ntawm cov kabmob sab hauv thiab cov hlab hlwb ntawm tus menyuam.

Ua rau

Ntau zaus, cov mob acetonemic syndrome tshwm sim rau menyuam yaus, tab sis kuj tshwm sim rau cov neeg laus. Nws cov laj thawj suav nrog:

mob raum - hauv lub raum tsis ua haujlwm,
digestive enzyme deficiency - caj los sis kis tau,
congenital los yog nrhiav kev cuam tshuam ntawm cov kab mob endocrine,
diathesis - neurogenic thiab arthritic,
biliary duct dyskinesia.

Hauv cov menyuam mos, tus mob no tuaj yeem yog lub sijhawm dhau los ntawm kev mob hlwb qeeb ntawm tus poj niam cev xeeb tub lossis tus mob nephropathy.

Cov xwm txheej sab nraud ua rau cov tshuaj acetone:

yoo mov, tshwj xeeb tshaj yog ntev,
kis tau tus mob
lom cuam tshuam - nrog rau intoxication thaum mob,
lub plab zom mov tshwm sim los ntawm kev noj zaub mov tsis zoo,
nephropathy.

Hauv cov laus, cov kev tso zis ntau ntawm ketone lub cev yog tshwm sim los ntawm ntshav qab zib. Cov tshuaj insulin thaiv kev nkag ntawm cov piam thaj mus rau cov kab mob ntawm cov organic, uas nyob hauv lub cev.

Nyob rau tib lub sijhawm, tus menyuam nrog neuro-arthritic anomaly ntawm tsab cai txhim kho kev hais lus, nco thiab lwm yam kev paub sai dua nws tus phooj ywg. Cov menyuam yaus nrog neuro-arthritic diathesis yog cov nquag ua rau lub cev tsis muaj zog ntawm purines thiab uric acid, yog li ntawd, thaum tiav hluas lawv nquag tsim urolithiasis, gout, mob caj dab, mob caj dab, glomerulonephritis, kev rog, thiab ntshav qab zib hom 2.

Cov tsos mob ntawm tus mob acetonemic:

Tus menyuam yaus muaj ntxhiab tsw ntxhiab ntawm acetone tawm ntawm nws lub qhov ncauj. Tib qhov ntxhiab tsw yog los ntawm menyuam cov tawv nqaij thiab zis.
Lub cev qhuav dej thiab qaug cawv, pallor ntawm daim tawv nqaij, qhov tshwm sim ntawm qhov ntsej tsis hnov tsw.
Muaj qhov ntuav, uas tuaj yeem tshwm sim ntau dua 3-4 zaug, tshwj xeeb tshaj yog thaum sim haus lossis haus ib yam dab tsi. Ntuav yuav tshwm sim hauv thawj 1-5 hnub.
Deterioration ntawm lub plawv suab, arrhythmia thiab tachycardia.
Tsis qab los noj mov.
Ua rau lub cev kub (feem ntau nce mus txog 37.50С-38.50С).
Thaum qhov teeb meem tau pib, tus me nyuam ntxhov siab thiab ntxhov siab, tom qab ntawd nws ua rau tsis muaj zog, tsaug zog, thiab qaug zog. Muaj tsawg heev, tab sis cramps yuav tshwm sim.
Ua raws plab, tso quav, mob xeev siab (mob plab hauv plab) yog pom hauv plab.

Feem ntau, cov tsos mob ntawm tus mob acetonemic tshwm sim nrog kev noj zaub mov tsis txaus - ib qho me me ntawm cov carbohydrates hauv kev noj haus thiab nthuav dav ntawm ketogenic thiab fatty amino acids nyob hauv nws. Cov menyuam yaus muaj lub cev ua kom sai, thiab lub plab zom mov tseem tsis tau yoog txaus, vim tias qhov ntawd tau txo qis ketolysis - cov txheej txheem ntawm kev siv ketone lub cev qeeb dua.

Kev kuaj mob ntawm tus mob

Cov niam txiv lawv tus kheej tuaj yeem nqa tawm sai sai los txiav txim siab cov acetone hauv cov zis - cov kab mob tshwj xeeb uas tau muag hauv lub tsev muag tshuaj tuaj yeem pab tau. Lawv yuav tsum tau ua kom qis qis rau hauv ib feem ntawm cov zis thiab, siv ntsuas qhov tshwj xeeb, txiav txim siab txog qib ntawm acetone.

Hauv kev kuaj sim, hauv kev soj ntsuam kev soj ntsuam ntawm zis, qhov muaj ketones yog txiav txim siab los ntawm "ib qho ntxiv" (+) txog "plaub pluses" (++++). Lub teeb tawm tsam - qib ntawm ketones ntawm + lossis ++, tom qab ntawd tus menyuam tuaj yeem raug kho rau hauv tsev. "Peb pluses" sib raug rau kev nce qib ntawm ketone lub cev hauv cov ntshav los ntawm 400 zaug, thiab plaub - los ntawm 600 zaug. Hauv cov xwm txheej no, yuav tsum tau mus pw hauv tsev kho mob - xws li ntau npaum li cas ntawm acetone txaus ntshai rau kev txhim kho tsis nco qab thiab mob hlwb. Tus kws kho mob yuav tsum txiav txim siab qhov tseeb ntawm cov mob acetone syndrome: seb nws yog thawj los yog theem nrab - tsim, piv txwv li, ua rau muaj kev cuam tshuam ntawm ntshav qab zib.

Ntawm qhov kev pom zoo thoob ntiaj teb kev pom zoo hauv xyoo 1994, cov kws kho mob tau txheeb xyuas cov kev cai tshwj xeeb rau kev kuaj mob zoo li no, lawv tau muab faib ua qhov yooj yim thiab ntxiv.

ntuav rov ua raws ntu, hauv qhov sib ntau ntawm qhov sib txawv,
nruab nrab ntawm kev tawm tsam muaj sij hawm sib txawv ntawm cov xwm txheej ib txwm ntawm tus menyuam,
lub sijhawm ua haujlwm ntawm crises txij li ob peb teev mus rau 2-5 hnub,
kuaj tsis zoo, kev kuaj mob radiological thiab endoscopic tshawb pom qhov ua rau ntuav, raws li muaj kev cuam tshuam ntawm cov kab mob pathology ntawm txoj hnyuv.

Cov qauv ntxiv suav nrog:

Lub sijhawm ntu ntuav yog tus yam ntxwv thiab stereotyped, ntu tom qab yog zoo li yav dhau los hauv lub sijhawm, siv thiab ntev, thiab kev tawm tsam lawv tus kheej tuaj yeem xaus nthawv.
ntuav tawm tsam nrog kev xeev siab, kev mob plab, mob taub hau thiab tsis muaj zog, photophobia thiab ua pa tsis nco qab ntawm tus menyuam.

Kev kuaj mob tseem ua nrog kev tshem tawm cov kab mob ntshav qab zib ketoacidosis (mob ntshav qab zib), mob plab, mob plab - peritonitis, mob hnyuv tws. Neurosurgical pathology (mob hlwb, txha caj qaum, mob hlwb txha caj qaum), kab mob sib kis thiab lom kuj yuav cais tawm.

Yuav kho cov mob acetonemic syndrome li cas

Nrog rau kev txhim kho ntawm cov tshuaj tsis haum lub ntsej muag, tus menyuam yuav tsum tau mus tom tsev kho mob. Nquag kev txhim kho kev noj zaub mov: nws raug nquahu kom noj cov zaub mov carbohydrates tau yooj yim, txwv kev txwv cov zaub mov muaj roj, muab dej haus rau haus kom ntau. Cov txiaj ntsig zoo ntawm kev ntxuav tawm kev haum nrog sodium bicarbonate, ib qho kev daws teeb meem uas muaj peev xwm los nruab ib feem ntawm cov ketone lub cev uas nkag mus rau cov hnyuv. Lub cev dej ntawm lub qhov ncauj siv cov kev daws teeb meem ua ke (orsol, rehydron, thiab lwm yam), nrog rau cov dej muaj kuab tshuaj alkaline, tau pom.

Lub ntsiab lus tseem ceeb ntawm kev kho mob ketoacidosis tsis muaj ntshav qab zib hauv cov menyuam yaus:

1) Kev noj haus (ua rau lub cev muaj kua thiab muaj cov carbohydrates nrog cov rog tsawg) yog txoj kev kho mob rau txhua tus neeg mob.

2) Lub sijhawm teem tseg ntawm prokinetics (motilium, metoclopramide), enzymes thiab cofactors ntawm cov metabolism hauv cov metabolism (thiamine, cocarboxylase, pyridoxine) ua rau muaj kev kho mob ua ntej rov qab los ntawm kev noj zaub mov thiab kev kho kom zoo dua qub ntawm cov rog thiab carbohydrate metabolism.

3) Kev kho kev lis ntshav:

sai sai tshem tawm lub cev qhuav dej (ntxiv cov kua ua tsis txaus), txhim kho kev ua kom zoo nkauj thiab microcirculation,
muaj cov tshuaj alkalizing, ua kom nrawm rov qab los ntawm ntshav bicarbonates (normalizes acid-puag qhov nyiaj tshuav),
muaj cov nyiaj txaus los ntawm cov muaj carbohydrates uas yog metabolized nyob rau hauv ntau txoj kev, nrog rau cov neeg sab nraud ntawm insulin,

4) Txoj kev kho kom zoo nkauj (tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob) yog kho raws li kev qhia.

Thaum muaj ketosis me me (acetonuria txog ++), uas tsis yog nrog lub cev qhuav dej tsis txaus, dej-electrolyte cuam tshuam thiab ntuav tsis nco qab, kev noj zaub mov noj thiab kev kho lub qhov ncauj nrog rau kev teem cov prokinetics ntawm koob tshuaj muaj hnub nyoog thiab kev kho txoj kev kho mob ntawm qhov mob tseem ceeb.

Hauv kev kho mob ntawm cov mob acetonemic syndrome, cov hau kev tseem ceeb yog cov uas tau tsom mus rau kev sib txuas nrog cov xwm txheej. Kev kho mob siab kom pab txo qis exacerbations yog qhov tseem ceeb heev.

Kev kho txoj kev lis ntshav

Cov lus qhia rau kev teem caij kho txoj kev lis ntshav:

Pheej rov siv dua ntuav uas tsis nres tom qab siv cov prokinetics,
Muaj cov hemodynamic thiab microcirculation teeb meem,
Cov tsos mob ntawm kev tsis hnov qab (ruam, tsis nco qab),
Lub xub ntiag ntawm nruab nrab (txog 10% ntawm lub cev hnyav) thiab mob hnyav (txog 15% ntawm lub cev qhov hnyav) lub cev qhuav dej,
Lub xub ntiag ntawm decompensated metabolic ketoacidosis nrog lub sij hawm nce anionic,
Lub xub ntiag ntawm anatomical thiab ua haujlwm nyuaj rau lub cev lub qhov ncauj (anomalies nyob rau hauv kev txhim kho ntawm lub ntsej muag lub ntsej muag thiab lub qhov ncauj), cov leeg hlwb (bulbar thiab pseudobulbar).

Ua ntej pib txoj kev kho txoj kev lis ntshav, nws yog ib qho tsim nyog kom ntseeg tau tias cov leeg muaj peev xwm nkag tau (zoo dua nruab nrab), txhawm rau txiav txim siab hemodynamics, acid-puag thiab dej-electrolyte sib npaug.

Cov lus pom zoo khoom noj khoom haus

Cov khoom lag luam uas raug cais tawm los ntawm kev noj zaub mov ntawm cov menyuam yaus raug kev txom nyem los ntawm kev mob nkeeg ntawm lub cev:

kiwi
cav noj nqaij
qaub cream - ib qho
sorrel thiab spinach,
hluas veal
Offal - rog, raum, hlwb, ntsws, siab,
nqaij - duck, nqaij npuas, yaj,
nplua nuj broths - nqaij thiab nceb,
zaub - taum ntsuab, taum ntsuab ntsuab, zaub cob pob, zaub paj dawb, zaub qhuav,
haus tais thiab nqaij hnyuv ntxwm
koj yuav tsum tau muab cov khaub noom cocoa, qhob noom xim kasfes - hauv cov khoom noj thiab dej qab zib.

Cov ntawv qhia zaub mov noj suav nrog: suav tau los ntawm mov, zaub kua zaub, qos yaj ywm ci. Yog tias cov tsos mob tsis rov nyob hauv ib lub lis piam, koj tuaj yeem maj mam ntxiv cov nqaij noj (tsis txhob kib), khaub noom, tshuaj ntsuab thiab zaub.

Kev noj haus tuaj yeem hloov kho tas li yog tias cov tsos mob ntawm tus mob rov qab dua. Yog tias koj tau ua pa tsw phem, koj yuav tsum ntxiv dej ntau, uas koj yuav tsum haus me me hauv qhov me

Nyob rau thawj hnub ntawm lub khoom noj, tus menyuam yuav tsum tsis txhob muab dab tsi tab sis muab mov ci ncuav ci ncuav.
On thib ob hnub, koj tuaj yeem ntxiv cov mov nplej lossis kua txiv noj qab.
Yog tias txhua yam ua tiav raws li kev cai, ces yog hnub peb, xeev siab thiab raws plab yuav dhau.

Nyob rau hauv tsis muaj mob tsis ua tiav kev noj haus yog tias cov tsos mob ploj mus. Cov kws kho mob pom zoo ua raws li txhua txoj cai. Nyob rau hnub xya, koj tuaj yeem ntxiv cov khoom qab zib biscuit, mov nplej (tsis muaj butter), zaub kua zaub rau cov zaub mov. Yog tias lub cev kub tsis nce ntxiv, thiab hnov ntxhiab tsw ntxhiab ntawm acetone ploj, ces tus menyuam kev noj zaub mov zoo tuaj yeem ua ntau yam. Koj tuaj yeem ntxiv cov ntses uas tsis muaj roj, zaub zom zaub, buckwheat, khoom noj siv mis.

Kev tiv thaiv kev ntsuas

Cov niam txiv uas lawv cov me nyuam tab tom ntxim rau cov tsos mob ntawm tus kab mob no yuav tsum muaj cov piam thaj thiab fructose npaj rau hauv lawv cov khoom pab ua ntej. Tsis tas li ntawm tes yuav tsum tau qhuav apricots, raisins, txiv hmab txiv ntoo qhuav. Tus menyuam txoj kev noj haus yuav tsum yog fractional (5 zaug hauv ib hnub) thiab muaj kev sib npaug. Sai li muaj ib qho cim ntawm kev nce qib hauv acetone, koj yuav tsum muab cov khoom qab zib rau tus menyuam tam sim ntawd.

Cov menyuam yaus yuav tsum tsis txhob raug tso cai rau lawv tus kheej ntau dhau, tsis hais kev puas hlwb lossis lub cev. Qhia kev ua txhua hnub nyob rau hauv cov xwm txheej, cov txheej txheem dej, ib txwm pw yim teev, pw tsaug zog cov txheej txheem.

Nruab nrab ntawm qaug dab peg nws yog qhov zoo los nqa tawm kev tiv thaiv kev kho mob ntawm kev ua ntsoog. Qhov no ua tau zoo tshaj plaws nyob rau lub caij so ib xyoos ob zaug.

Ua rau mob Acetonemic Syndrome

Feem ntau, kab mob ua paug rau cov ntshav liab tau tshwm sim hauv cov menyuam yaus txog 12-13 xyoo. Qhov no yog vim qhov tseeb tias qhov nyiaj ntawm acetone thiab acetoacetic acid nyob rau hauv cov ntshav nce ntxiv. Cov txheej txheem no ua rau muaj kev txhim kho ntawm lub npe hu ua acetone ntsoog. Yog tias qhov xwm txheej ntawd tshwm sim tsis tu ncua, ces peb tuaj yeem tham txog tus mob.

Raws li txoj cai, kab mob ua paug rau lub cev muaj tshwm sim hauv cov menyuam yaus raug kev txom nyem los ntawm qee cov kab mob endocrine (mob ntshav qab zib, thyrotoxicosis), mob leukemia, hemolytic anemia, thiab kab mob ntawm txoj hnyuv huam. Feem ntau cov kab mob no tshwm sim tom qab kev mob hlwb, txawv txav ntawm daim siab, lub qog hlwb, tshaib plab.

Raug Mob Lub Neej

Cov hau kev ntawm catabolism ntawm cov nqaijrog, carbohydrates thiab cov rog hauv cov kev mob muaj sia muaj cuam tshuam ntawm qee theem ntawm lub npe hu ua Krebs phaum. Nov yog lub zog ntawm lub zog thoob ntiaj teb uas tso cai rau lub cev los tsim kho kom raug.

Nrog kev tshaib plab lossis ntau dhau los ntawm kev noj cov protein thiab cov zaub mov muaj roj, kev ntxhov siab tas li txhim kho ketosis. Yog hais tias lub cev nyob rau tib lub sijhawm muaj kev txheeb ze lossis tsis muaj qhov tsis txaus ntawm carbohydrates, nws ua rau lub cev lipolysis, uas yuav tsum txaus siab qhov kev xav tau ntawm lub zog.

Ketone lub cev ob leeg pib oxidize hauv cov ntaub so ntswg mus rau lub xeev dej thiab carbon dioxide, lossis raug tawm los ntawm lub raum, lub plab zom mov thiab lub ntsws. Ntawd yog, acetonemic syndrome pib tsim yog tias tus nqi ntawm kev siv ketone lub cev qis dua tus nqi ntawm lawv cov kev sib txuas.

Cov tsos mob tseem ceeb ntawm hnoos qeev muaj:

Nce tshee tshee.
Ketoacidosis.
Nquag lipid metabolism hauv kev ntshawv siab.
Cov ua mob ntshav qab zib.

Ntawm no, cov roj ntsha muaj lub luag haujlwm tseem ceeb heev. Yog tias tus menyuam cov txheeb ze raug kuaj pom tias muaj cov kab mob metabolic (mob gout, mob pob zeb thiab urolithiasis, mob atherosclerosis, mob taub hau), feem ntau yuav ua rau tus menyuam tau tus mob no. Khoom noj khoom haus zoo kuj tseem ceeb.

Acetonemic syndrome rau cov neeg laus

Rau cov neeg laus, mob me ntsis ntawm lub cev yuav tshwm sim thaum ua kom cov ntshav huv los yog protein tsawg sib cuam tshuam. Hauv qhov no, cov concentration ntawm ketone lub cev nce hauv lub cev. Nws yuav tsum nkag siab tias ketones yog suav tias yog cov khoom siv hauv peb lub cev. Lawv yog cov khoom tseem ceeb ntawm lub zog. Yog tias lub cev tau txais cov carbohydrates txaus, qhov no txwv tsis pub ntau dhau lawm ntawm acetone.

Cov neeg laus feem ntau tsis nco qab txog kev noj zaub mov kom zoo, uas ua rau lub zog ketone pib sib ntxiv. Qhov no yog qhov ua rau qaug cawv, uas yog tsos los ntawm ntuav.

Ib qho ntxiv, cov ua rau mob acetone syndrome rau cov neeg laus tuaj yeem yog:

Qhov hluav taws xob tas li.
Kev muaj kuab lom thiab zaub mov tsis zoo.
Tsis hlauv.
Noj zaub mov tsis muaj zaub mov txaus.
Kev tsis sib haum xeeb nyob rau hauv endocrine system.
Kev yoo mov thiab kev noj haus.
Congenital pathology.

Muaj zog cuam tshuam rau kev txhim kho ntshav qab zib hom 2.

Cov tsos mob ntawm qhov pib ntawm cov mob acetone hauv cov neeg laus:

Lub plawv dhia tsis muaj zog lawm.
Tus nqi ntawm cov ntshav hauv lub cev nws txo qis.
Daim tawv nqaij yog daj ntseg, ntsej mua nce ntshav tawm ntawm lub puab tsaig.
Hauv cheeb tsam epigastric, kev mob plab spasmodic tshwm sim.
Lub cev qhuav dej.
Cov lej ntawm cov piam thaj hauv cov ntshav yuav raug txo kom tsawg.
Xeev siab thiab ntuav.

Teeb meem thiab txim

Cov ketones ntau, uas ua rau kom mob acetonemic, ua rau muaj kev rau txim loj. Qhov loj tshaj yog metabolic acidosisthaum lub cheeb tsam sab hauv ntawm lub cev yog acidified. Qhov no tuaj yeem ua kev puas tsuaj rau txhua lub cev.

Tus menyuam ua pa sai dua, ntshav ntws mus rau lub ntsws nce ntxiv, txo qis rau lwm yam kabmob. Ntxiv rau, ketones cuam tshuam ncaj qha rau cov ntaub so ntswg ntawm lub hlwb. Ib tug menyuam yaus muaj mob acetone yog nkees thiab nyuaj siab.

Cov qauv siv hauv kev kuaj mob yog dab tsi?

Ntuav lub sijhawm nws ua tas li thiab muaj zog heev.
Ntawm ntu kev npau taws, tej zaum yuav muaj lub sij hawm uas siab tus yees nrog lub sijhawm sib txawv.
Ntuav yuav nyob ntev li ob peb hnub.
Nws yog tsis yooj yim sua kom sib txuas ntawm ntuav nrog cov kev tsis txaus siab hauv txoj hnyuv.
Kev tawm tsam ntawm ntuav yog stereotypical.
Qee zaum ntuav xaus sai sai, tsis muaj kev kho mob.
Muaj cov tsos mob concomitant: xeev siab, mob taub hau, mob plab, photophobia, inhibition, adynamia.
Tus neeg mob daj ntseg, nws yuav kub ib ce, zawv plab.
Hauv qhov ntuav koj tuaj yeem pom cov kua tsib, ntshav, hnoos qeev.

Kev kuaj sim

Tsis muaj kev hloov pauv hauv kev kuaj ntshav hauv lub chaw kuaj mob. Feem ntau daim duab qhia tsuas yog pathology uas coj mus rau kev txhim kho ntawm tus mob.

Kuj tseem muaj tso zis nyob rau hauv uas koj tuaj yeem pom ketonuria (ib lossis ntxiv plaub ntxiv). Txawm li cas los xij, muaj cov piam thaj hauv kev tso zis tsis yog mob tshwj xeeb.

Ib qho tseem ceeb heev hauv kev txiav txim siab txog kev kuaj mob - cov ntaub ntawv tau los kev kuaj ntshav biochemicalCov. Hauv qhov no, lub sijhawm ntuav ntev dua, ntau dua lub cev qhuav dej. Ntshav muaj qhov tshwm sim zoo siab ntawm hematocrit thiab protein. Urea kuj tseem nce ntxiv hauv cov ntshav vim lub cev qhuav dej.

Kev kuaj mob Instrumental

Ib qho tseem ceeb heev rau kev kuaj mob yog echocardioscopy. Nrog nws, koj tuaj yeem pom cov ntsuas ntawm cov hauv paus hemodynamics:

diastolic ntim ntawm sab laug ventricle feem ntau txo,
venous lub siab poob qis
ejection fraction los kuj muaj tsawg heev,
tawm tsam cov backdrop ntawm tag nrho cov no, daim ntawv cog lus mob nce vim tachycardia.

Yog tias muaj teeb meem acetone twb tau tsim

Ua qhov kev soj ntsuam kev noj haus tam sim ntawd. Nws yog raws li kev siv cov khoom noj zom tau yooj yim carbohydrates, txwv cov zaub mov muaj roj, muab cov khoom noj zoo zoo thiab haus. Qee zaum lawv tau muab cov tshuaj tshwj xeeb ntxuav nrog sodium bicarbonate. Qhov no pab tshem tawm qee cov ketone lub cev uas twb tau nkag mus rau txoj hnyuv.

Lub cev dej nrog cov kev daws teeb meem xws li rehydron lossis orsol.

Yog tias lub cev qhuav dej yog qhov mob hnyav, nws yog qhov yuav tsum tau nqa tawm tso dej ntawm 5% piam thaj thiab dej qab ntsev. Feem ntau muab cov tshuaj antispasmodics, sedatives thiab antiemetics. Nrog rau kev kho kom zoo, cov tsos mob ntawm tus mob ploj tom qab 2-5 hnub.

Cov Tshuaj Kho Mob

Kev ua pa roj carbon. Sorbent, uas nrov heev. Cov thee no yog tsob ntoo lossis tsiaj keeb kwm. Kev tsim tshwj xeeb los txhim kho nws txoj kev ua kom muaj zog. Raws li txoj cai, thaum pib ntawm kev daws teeb meem ntawm acetone, nws yog tshuaj kom tshem tawm cov co toxins ntawm lub cev. Ntawm cov kev mob tshwm sim lub ntsiab: cem quav lossis zawv plab, lub cev nqaij ntshiv cev, cov vitamins thiab cov rog.
Kev siv lub tshuab hluav ncaig hluav taws xob ua kom pom tseeb tias mob plab, mob plab.

Pob TsuasCov. Nws yog ib qho antiemetic uas txwv dopamine receptors. Cov tshuaj nquag ua haujlwm yog domperidone. Rau cov menyuam yaus, kev noj tshuaj yog 1 ntsiav tshuaj 3-4 zaug hauv ib hnub, rau cov laus thiab menyuam hnub nyoog 12 xyoos - 1-2 ntsiav tshuaj 3-4 zaug ib hnub.

Qee zaum Motilium tuaj yeem ua rau muaj kev mob tshwm sim xws li: mob plab hnyuv, mob plab hnyuv, ua kom lub cev puas poog, mob taub hau, tsaug zog, poob siab, ntshav ntau dhau ntawm cov ntshav prolactin.

Cov tshuaj tsis pom zoo rau siv nrog lub plab zom mov, hloov cov teeb meem ntawm lub plab zom mov, lub cev nyhav txog 35 kg, tus kheej tsis kam ua rau lub Cheebtsam.

MetoclopramideCov. Cov tshuaj tiv thaiv antiemetic uas pab txo cov xeev siab tuaj yeem txhawb lub plab hnyuv kom mus taus. Cov neeg laus raug pom zoo kom noj 10 mg 3-4 zaug ib hnub. Cov menyuam yaus hnub nyoog dhau 6 xyoo tuaj yeem raug txiav txim txog 5 mg 1-3 zaug hauv ib hnub.

Kev phiv los ntawm kev noj cov tshuaj yog: raws plab, quav, qhov ncauj qhuav, mob taub hau, tsaug zog, qaug zog, kiv taub hau, agranulocytosis, kev fab tshuaj.

Nws tsis tuaj yeem noj nrog txoj kev los ntshav hauv plab, perforation ntawm lub plab, tshuab tsis muaj teeb meem, mob vwm, pheochromocytoma, mob qog, cev xeeb tub, lactation.

ThiamineCov. Cov tshuaj no yog noj rau cov vitamin tsis txaus thiab hypovitaminosis B1. Tsis txhob noj yog tias hypersensitivity rau lub Cheebtsam ntawm cov tshuaj. Cov kev mob tshwm sim yog: Quincke's edema, khaus khaus, tawm pob, urticaria.

AtoxilCov. Cov tshuaj yuav pab nqus cov co toxins hauv cov hnyuv thiab tshem tawm ntawm lub cev. Tsis tas li ntawd, nws tshem tawm cov phom sij los ntawm cov ntshav, tawv nqaij thiab cov ntaub so ntswg. Raws li qhov tshwm sim, lub cev kub hloov qis, ntuav nres.

Kev npaj txhij yog nyob rau hauv daim ntawv ntawm hmoov los ntawm qhov kev ncua ntxiv yog npaj. Cov menyuam yaus txij li xya xyoo tuaj yeem haus 12 g ntawm cov tshuaj ib hnub. Cov koob tshuaj rau cov menyuam yaus hnub nyoog qis dua xya xyoo yuav tsum yog kws kho mob sau tseg.

Lwm txoj kev kho mob

Acetonemic syndrome tuaj yeem kho tom tsev. Tab sis ntawm no koj yuav tsum them sai sai rau qhov tseeb tias koj tsuas yog siv cov cuab yeej uas tuaj yeem txo qis acetone.

Yog tias koj tsis pom muaj kev txhim kho hauv tus mob ntawm tus menyuam, koj yuav tsum sab laj nrog kws kho mob sai.

Lwm txoj kev kho mob hauv qhov no tsuas yog tsim nyog rau kev tshem tawm qhov tsis hnov tsw ntawm acetone, txo qis rau qhov kub thiab tshem tawm cov ntuav. Piv txwv li, kom tshem tawm cov ntxhiab tsw yog qhov zoo tagnrho rau kev nqus ntawm sorrel lossis tshuaj yej tshwj xeeb raws li cov dev sawv.

Tshuaj ntsuab kho tus mob

Feem ntau siv tshuaj ntsuab, kom tsis txhob ntuavCov. Ua li no, npaj xws li decoctions:

Noj 1 tablespoon ntawm tshuaj ntsuab txiv qaub balm thiab ncuav 1 khob ntawm cov dej npau. Insist rau txog ib teev, qhwv hauv daim ntaub sov. Lim thiab haus 1 diav kom txog li rau zaug ib hnub.

Noj 1 tablespoon ntawm peppermint, ncuav ib khob ntawm boiling dej. Txheeb ob teev. Siv sijhawm li 4 zaug nyob rau ib hnub, ib diav.

Kev noj haus thiab zaub mov noj rau mob acetone syndrome

Ib qho ntawm cov laj thawj tseem ceeb ua kom pom kev ntawm tus mob acetonemic yog kev noj haus tsis txaus. Txhawm rau kom tsis txhob rov mob yav tom ntej, nws yog qhov yuav tsum tau tswj hwm koj tus menyuam txoj kev noj zaub mov kom zoo txhua hnub.

Tsis txhob suav cov khoom noj uas muaj ntau hauv kev tiv thaiv, haus dej hauv cov pa roj carbon monoxide, lossis roj av. Tsis txhob muab koj cov menyuam rog dhau lossis ua zaub mov kib.

Txhawm rau kho mob acetone syndrome, koj yuav tsum ua raws li kev noj haus rau ob rau peb lub lis piam. Cov ntawv qhia zaub mov noj suav nrog: mov nplej, zaub kua zaub, qos yaj ywm ci. Yog tias cov tsos mob tsis rov qab los rau hauv ib lub lis piam, koj tuaj yeem maj mam ntxiv cov nqaij noj (tsis kib), khaub noom, zaub ntsuab thiab zaub.

Kev noj haus tuaj yeem hloov kho yog tias cov tsos mob ntawm tus mob rov qab dua. Yog tias kev ua pa tsis zoo, koj yuav tsum tau ntxiv dej ntau, uas koj yuav tsum haus me me rau qee qhov. Tsis muaj ib qho mob tsis tas ua kom noj mov yog tias cov tsos mob tau ploj mus. Cov kws kho mob pom zoo kom ua raws li txhua txoj cai. Nyob rau hnub xya, koj tuaj yeem ntxiv cov ncuav ci biscuit ncuav qab zib, mov porridge (tsis muaj butter), zaub kua zaub.

Yog tias lub cev kub tsis nce ntxiv, thiab tsis hnov tsw ntxhiab tsw ntxhiab ntawm acetone ploj, ces tus menyuam kev noj zaub mov zoo tuaj yeem muaj ntau yam sib txawv. Koj tuaj yeem ntxiv cov rog uas tsis muaj roj, qos yaj ywm ci, buckwheat, khoom noj siv mis.

Cov kws kho mob cov lus

Acetonemic syndrome lossis AS yog ib qho nyuaj ntawm cov kev mob tshwm sim hauv cov ntsiab lus ntawm ketone lub cev (tshwj xeeb, β-hydroxybutyric thiab acetoacetic acid, nrog rau acetone, nce hauv cov ntshav).

Lawv yog cov khoom ntawm tsis tiav oxidation ntawm fatty acids, thiab yog tias lawv cov ntsiab lus nce siab, kev hloov pauv hauv cov metabolism tshwm sim.

Kev Tiv Thaiv

Thaum koj tus menyuam tau zoo, koj yuav tsum tiv thaiv tus kabmob. Yog tias qhov no tsis ua tiav, tom qab ntawd cov tshuaj acetone ua rau mob ntev. Yav thaum ntxov, nco ntsoov ua raws li cov zaub mov tshwj xeeb, tsis kam noj cov zaub mov muaj roj thiab ntsim. Tom qab cov khoom noj dhau lawm, koj yuav tsum maj mam thiab ua tib zoo nkag mus rau cov khoom noj txhua hnub ntawm lwm yam khoom.

Nws yog ib qho tseem ceeb heev rau kev noj zaub mov kom muaj txiaj ntsig zoo. Yog tias koj suav tag nrho cov khoom tsim nyog hauv koj tus menyuam cov zaub mov, ces tsis muaj dab tsi yuav hem nws txoj kev noj qab haus huv. Kuj sim muab nws ua lub neej nquag, zam kev ntxhov siab, ntxiv dag zog rau kev tiv thaiv thiab tswj cov microflora.

Qhov kwv yees ntawm tus kab mob no feem ntau yog ua tau zoo. Feem ntau, thaum muaj hnub nyoog 11-12 xyoos, cov mob acetonemic syndrome ploj mus ntawm nws tus kheej, nrog rau tag nrho nws cov tsos mob.

Yog tias koj thov kev pab sai sai los ntawm cov kws tshaj lij, qhov no yuav pab kom zam dhau ntau yam teebmeem thiab tshwm sim.

Daim vis dis aus hais txog mob sysab. Tus sau: NIANKOVSKY Sergey Leonidovich
Xib fwb, Lub Taub Hau ntawm Chav Haujlwm ntawm Kws Qhia Ntawv thiab Tsev Kho Mob Pediatrics

Acetonemic Vomiting Syndrome

Acetonemic syndrome yog mob concomitant syndrome hauv neuro-arthritic diathesis. Tus kab mob no yog suav hais tias yog yam ntxwv ntawm cov khoom ntawm tus menyuam lub cev. Nws yog tsiag ntawv los ntawm qhov tseeb tias cov ntxhia thiab purine metabolism hloov pauv. Qhov mob no zoo sib xws tau soj ntsuam hauv 3-5% ntawm cov menyuam yaus. Ntxiv mus, nyob rau hauv xyoo tas los no cov naj npawb ntawm cov neeg mob yog tas li nce.

Cov tsos mob tseem ceeb ntawm cov tsos mob ntawm ntuav yog cov:

Kev tshee tshee sai zuj zus.
Ketoacidosis.
Nquag lipid metabolism hauv kev ntshawv siab.
Cov ua mob ntshav qab zib.

Ntawm no, cov roj ntsha muaj lub luag haujlwm tseem ceeb heev. Yog tias tus me nyuam cov txheeb ze tau txheeb xyuas cov kab mob metabolic (gout, cholelithiasis thiab urolithiasis, atherosclerosis, migraines), tom qab ntawv nrog qhov muaj feem ntau yuav ua rau tus me nyuam yuav mob nrog tus mob no. Tsis tas li tsis yog lub luag haujlwm tsawg kawg yog ua si los ntawm kev noj zaub mov kom zoo.

, ,

Lwm txoj kev kho mob

Acetonemic syndrome tuaj yeem kho tom tsev. Tab sis ntawm no nws tsim nyog them sai sai rau qhov tseeb tias koj tsuas yog siv cov khoom lag luam uas tuaj yeem nqa qis qis. Yog tias koj tsis pom muaj kev txhim kho hauv tus mob ntawm tus menyuam, koj yuav tsum sab laj nrog kws kho mob sai. Lwm txoj kev kho mob hauv qhov no tsuas yog tsim nyog txhawm rau tshem tawm qhov tsis hnov tsw ntawm acetone, txo qhov kub thiab txo cov ntuav. Piv txwv li, kom tshem tawm cov ntxhiab tsw, ib qho kua txiv sorrel lossis tshuaj yej tshwj xeeb raws li lub duav rose yog zoo meej.

, , , , , , , ,

Khoom noj khoom haus thiab khoom noj rau cov mob acetonemic syndrome

Ib qho ntawm cov laj thawj tseem ceeb ua rau pom kev ntawm lub cev kev muaj mob yog kev noj zaub mov tsis zoo. Txhawm rau kom tsis txhob rov ua mob ntxiv rau yav tom ntej, nws yuav tsum tswj hwm kev noj zaub mov kom zoo rau koj tus menyuam noj txhua hnub. Nws tsis tsim nyog suav nrog cov khoom lag luam nrog cov ntsiab lus siab ntawm cov kua tshuaj, cov dej hauv cov pa roj carbon monoxide, kua txig. Tsis txhob muab koj cov menyuam rog lossis rog yuag.

Rau kev kho mob ntawm tus mob acetonemic kom ua tiav, koj yuav tsum ua raws li kev noj haus rau ob rau peb lub lis piam. Cov ntawv qhia zaub mov noj suav nrog: suav tau los ntawm mov, zaub kua zaub, qos yaj ywm ci. Yog tias cov tsos mob tsis rov nyob hauv ib lub lis piam, koj tuaj yeem maj mam ntxiv cov nqaij noj (tsis txhob kib), khaub noom, tshuaj ntsuab thiab zaub.

Kev noj haus tuaj yeem hloov kho tas li yog tias cov tsos mob ntawm tus mob rov qab dua. Yog tias koj tau ua pa tsw phem, koj yuav tsum ntxiv dej ntau, uas koj yuav tsum haus me me hauv qhov me.

Nyob rau thawj hnub ntawm lub khoom noj, tus menyuam yuav tsum tsis txhob muab dab tsi tab sis muab mov ci ncuav ci ncuav.

On thib ob hnub, koj tuaj yeem ntxiv cov mov nplej lossis kua txiv noj qab.

Yog tias txhua yam ua tiav raws li kev cai, ces yog hnub peb, xeev siab thiab raws plab yuav dhau.

Yog tias lub cev kub tsis nce ntxiv, thiab hnov ntxhiab tsw ntxhiab ntawm acetone ploj, ces tus menyuam kev noj zaub mov zoo tuaj yeem ua ntau yam. Koj tuaj yeem ntxiv cov ntses uas tsis muaj roj, zaub zom zaub, buckwheat, khoom noj siv mis.